An examination of the demographic predictors of adolescent breakfast consumption, content, and context

BMC Public Health

Kirby Sainsbury³  Kristen Pickles²  Kathleen O’Moore²  Emily Kothe¹  Cara Wong²  Barbara Mullan³ 

[1] School of Psychology, Deakin University, Melbourne, VIC, 3125, Australia;School of Psychology, The University of Sydney, Sydney, NSW, Australia;School of Psychology and Speech Pathology, Curtin University, Perth, WA, Australia

关键词: Nutrition;    Diet;    England;    Australia;    Breakfast;   

Others  :  1131877
DOI  :  10.1186/1471-2458-14-264

 received in 2014-03-06, accepted in 2014-03-14,  发布年份 2014

【 摘 要 】

Background

Breakfast consumption is important to health; however, adolescents often skip breakfast, and an increased understanding of the breakfast consumption patterns of adolescents is needed. The purpose of this study was to identify the predictors of breakfast eating, including the content and context, in an adolescent sample from Australia and England.

Methods

Four-hundred and eighty-one students completed an online questionnaire measuring breakfast skipping, and breakfast content (what was eaten) and context (who they ate with, involvement in preparation). Logistic regression was conducted to investigate the predictors of skipping breakfast, breakfast context, and consumption of the ten most commonly consumed foods. Chi-square analyses were used to examine differences in breakfast content according to context.

Results

Most students (88%) had consumed breakfast on the day of the survey; breakfast skipping was more common in England (18%) than in Australia (8%). Country, gender, socioeconomic status, and body mass index (BMI) were all predictors of breakfast content and context. Whether adolescents ate with others and/or were involved in breakfast preparation predicted the content of breakfast consumed.

Conclusions

This study provides a comprehensive examination of the factors underlying breakfast consumption (content and context) and has important implications for the development of evidence-based interventions to improve rates of breakfast consumption and the quality of food consumed amongst adolescents.

【 授权许可】

   
2014 Mullan et al.; licensee BioMed Central Ltd.

【 参考文献 】

• [1]Timlin MT, Pereira MA: Breakfast frequency and quality in the etiology of adult obesity and chronic diseases. Nutr Rev 2007, 65:268-281.
• [2]Barton B, Eldridge AL, Thompson D, Affenito SG, Striegel-Moore RH, Franko DL, Albertson AM, Crockett SJ: The relationship of breakfast and cereal consumption to nutrient intake and body mass index: the national heart, lung, and blood institute growth and health study. J Am Diet Assoc 2005, 105:1383-1389.
• [3]Deshmukh-Taskar PR, Nicklas TA, O’Neil CE, Keast DR, Radcliff JD, Cho S: The relationship of breakfast skipping and type of breakfast consumption with nutrient intake and weight status in children and adolescents: the national health and nutrition examination survey 1999–2006. J Am Diet Assoc 2010, 110:869-878.
• [4]Sjöberg A, Hallberg L, Höglund D, Hulthén L: Meal pattern, food choice, nutrient intake and lifestyle factors in the Göteborg adolescence study. Eur J Clin Nutr 2003, 57:1569-1578.
• [5]Affenito SG, Thompson DR, Barton BA, Franko DL, Daniels SR, Obarzanek E, Schreiber GB, Striegel-Moore RH: Breakfast consumption by African-American and white adolescent girls correlates positively with calcium and fiber intake and negatively with body mass intake. J Am Diet Assoc 2005, 105:938-945.
• [6]Croezen S, Visscher T, Ter Bogt N, Veling M, Haveman-Nies A: Skipping breakfast, alcohol consumption and physical inactivity as risk factors for overweight and obesity in adolescents: results of the E-MOVO project. Eur J Clin Nutr 2007, 63:405-412.
• [7]Cho S, Dietrich M, Brown CJP, Clark CA, Block G: The effect of breakfast type on total daily energy intake and body mass index: results from the third national health and nutrition examination survey (NHANES III). J Am Coll Nutr 2003, 22:296-302.
• [8]Smith AP: Stress, breakfast cereal consumption, and cortisol. Nutr Neurosci 2002, 5:141-144.
• [9]Hoyland A, Dye L, Lawton CL: A systematic review of the effect of breakfast on the cognitive performance of children and adolescents. Nutr Res Rev 2009, 22:220.
• [10]Schneider D: International trends in adolescent nutrition. Soc Sci Med 2000, 51:955-967.
• [11]Goran MI, Ball GDC, Cruz ML: Obesity and risk of type 2 diabetes and cardiovascular disease in children and adolescents. J Clin Endocrinol Metab 2003, 88:1417-1427.
• [12]Smith KJ, Gall SL, McNaughton SA, Blizzard L, Dwyer T, Venn AJ: Skipping breakfast: longitudinal associations with cardiometabolic risk factors in the childhood determinants of adult health study. Am J Clin Nutr 2010, 92:1316-1325.
• [13]Alexy U, Wicher M, Kersting M: Breakfast trends in children and adolescents: frequency and quality. Public Health Nutr 2010, 13:1795.
• [14]Lytle L, Seifert S, Greenstein J, McGovern P: How do children’s eating patterns and food choices change over time? Results from a cohort study. Am J Health Promot 2000, 14:222-228.
• [15]Aranceta J, Sera-Majem L, Ribas L, Perez-Ridrigo C: Breakfast consumption in Spanish children and young people. Public Health Nutr 2001, 4:1439-1444.
• [16]Smith AP, Kendrick A, Maben A, Salmon J: Effects of breakfast and caffeine on cognitive performance, mood and cardiovascular functioning. Appetite 1994, 22:39-55.
• [17]Michaud C, Musse N, Nicolas JP, Mejean L: Effects of breakfast-size on short-term memory, concentration, mood and blood glucose. J Adolesc Health 1991, 12:53-57.
• [18]Mahoney CR, Taylor HA, Kanarek RB, Samuel P: Effect of breakfast composition on cognitive processes in elementary school children. Physiol Behav 2005, 85:635-645.
• [19]Benton D, Maconie A, Williams C: The influence of the glycaemic load of breakfast on the behaviour of children in school. Physiol Behav 2007, 92:717-724.
• [20]Williams P: What Australians eat for breakfast: an analysis of data from the 1995 National Nutrition Survey. Nutr Diet 2002, 59:103-112.
• [21]Vanelli M, Iovane B, Bernardini A, Chiari G, Errico M, Gelmetti C, Corchia M, Ruggerini A, Volta E, Rossetti S: Breakfast habits of 1,202 northern Italian children admitted to a summer sport school. Breakfast skipping is associated with overweight and obesity. Acta Biomed 2005, 76:79-85.
• [22]Raaijmakers LGM, Bessems KMHH, Kremers SPJ, van Assema P: Breakfast consumption among children and adolescents in the Netherlands. Eur J Pub Health 2010, 20:318-324.
• [23]Temple NJ, Steyn NP, Myburgh NG, Nel JH: Food items consumed by students attending schools in different socioeconomic areas in Cape Town, South Africa. Nutr 2006, 22:252-258.
• [24]Morgan KJ, Zabik ME, Stampley GL: Breakfast consumption patterns of U.S. children and adolescents. Nutr Res 1986, 6:635-646.
• [25]Ruxton CH, O’Sullivan KR, Kirk TR, Belton NR, Holmes MA: The contribution of breakfast to the diets of a sample of 136 primary-schoolchildren in Edinburgh. Br J Nutr 1996, 75:419-431.
• [26]Mullan B, Singh M: A systematic review of the quality, content, and context of breakfast consumption. Nutrition & Food Science 2010, 40:81-114.
• [27]Kothe EJ, Mullan BA: Increasing the frequency of breakfast consumption. Brit Food J 2011, 113:784-796.
• [28]Keski-Rahkonen A, Kaprio J, Rissanen A, Virkkunen M, Rose RJ: Breakfast skipping and health-compromising behaviors in adolescents and adults. Eur J Clin Nutr 2003, 57:842-853.
• [29]Pearson N, Biddle SJH, Gorely T: Family correlates of breakfast consumption among children and adolescents: a systematic review. Appetite 2009, 52:1-7.
• [30]Levin KA, Kirby J: Irregular breakfast consumption in adolescence and the family environment: underlying causes by family structure. Appetite 2012, 59:63-70.
• [31]Levin KA, Kirby J, Currie C: Family structure and breakfast consumption of 11–15 year old boys and girls in Scotland, 1994–2010: a repeated cross-sectional study. BMC Public Health 2012, 12:228. BioMed Central Full Text
• [32]Hallstrom L, Vereecken CA, Ruiz JR, Patterson E, Gilbert CC, Catasta G, Diaz L-E, Gomez-Martinez S, Gross MG, Gottrand F, Hegyi A, Lehouz C, Mouratidou T, Widham K, Astrom A, Morenp LA, Sjostrom M: Breakfast habits and factors influencing food choices at breakfast in relation to socio-demographic and family factors among Eurporan adolescents: the HELENA study. Appetite 2011, 56:649-657.
• [33]Neumark Sztainer D, Hannan PJ, Story M, Croll J, Perry C: Family meal patterns: associations with sociodemographic characteristics and improved dietary intake amongst adolescents. J Am Diet Assoc 2003, 103:317-322.
• [34]Mullan B, Wong C, Kothe E: Predicting adolescent breakfast consumption in the UK and Australia using an extended theory of planned behaviour. Appetite 2013, 62:127-132.
• [35]WHO: Physical status: The use and interpretation of anthropometry. Report of a WHO expert committee. In Book Physical Status: The use and Interpretation of Anthropometry. Report of a WHO Expert Committee. City: World Health Organisation; 1995.
• [36]Kothe E, Amaratunga R, Mullan B: Randomised controlled trial of a brief theory-based intervention promoting breakfast consumption. Appetite 2011, 56:148-155.
• [37]National Health and Medical Research Council: Dietary guidelines for australian adults. In Book Dietary Guidelines for Australian Adults. City: Commonwealth of Australia; 2003.
• [38]Wong C, Mullan B: Predicting breakfast consumption: an application of the theory of planned behaviour and the investigation of past behaviour and executive function. Br J Health Psychol 2009, 14:489-504.
• [39]Trends in portion sizes in the UK - A preliminary review of published information http://www.food.gov.uk/multimedia/pdfs/reviewportions.pdf webcite
• [40]Shaw ME: Adolescent breakfast skipping: an Australian study. Adolescence 1998, 33:851-861.
• [41]Lattimore PJ, Halford JCG: Adolescence and the diet-dieting disparity: healthy food choice or risky health behaviour? Br J Health Psychol 2003, 8:451-463.
• [42]Nicklas TA, McQuarrie A, Fastnaught C, O’Neil CE: Efficiency of breakfast consumption patterns of ninth graders: nutrient-to-cost comparisons. J Am Diet Assoc 2002, 102:226-233.
• [43]Williamson C: Breakfast cereals–why all the bad press? Nutr Bull 2010, 35:30-33.
• [44]Miller JB, Pang E, Broomhead L: The glycaemic index of foods containing sugars: comparison of foods with naturally-occurring added sugars. Br J Nutr 1995, 73:613-623.
• [45]Anderson AS, Macintyre S, West P: Dietary patterns among adolescents in the West of Scotland. Br J Nutr 1994, 71:111-122.
• [46]Kelly S, Summerbell C, Brynes A, Whittaker V, Frost G: Wholegrain cereals for coronary heart disease. Cochrane Database of Syst Rev 2007, 2:CD005051.
• [47]Ortega RM, Requejo AM, Lopez-Sobaler AM, Quintas ME, Andres P, Redondo MR: Difference in the breakfast habits of overweight/obese and normal weight schoolchildren. Int J Vitam Nutr Res 1998, 68:125-132.
• [48]Delva J, O’Malley PM, Johnston LD: Racial/ethnic and socioeconomic status differences in overweight and health-related behaviors among American students: national trends 1986–2003. J Adolesc Health 2006, 39:536-545.
• [49]Swap it don’t stop It http://swapit.gov.au/ webcite